I also had engorgement after premature birth many years ago and it was very 
distressing to have milk dripping into the bath and no baby.
There were no suggestions of care for that except for taking Epsom salts 
which is unpleasant.
Today I would suggest cold cabbage leaves, not for just ten minutes as we 
suggest for regular engorgement, but used continuously.  The short period is 
intended to relieve pain and engorgement without affecting milk supply but 
continuous use, replacing the cold leaves every half hour would soon dry up 
the milk.  Also drinking mint tea or taking sage.
Wendy Blumfield
NCT Tutor Prenatal Teacher/Breastfeeding Counsellor
Haifa, Israel 

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